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1 September 23, 2009 Global Medical Travel and Reducing Catastrophic Claims 2 SIIA Medical Travel Session Three Presentations From Overview to Specific Facilitator - BridgeHealth International International Hospital - NZ Patient - Thailand

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Page 1: Global Medical Travel and Reducing Catastrophic Claims National Conference... · 2010-10-14 · September 23, 2009 1 Global Medical Travel and Reducing Catastrophic Claims 2 SIIA

1September 23, 2009

Global Medical Travel and Reducing Catastrophic Claims

2

SIIA Medical Travel Session

• Three Presentations• From Overview to Specific

– Facilitator - BridgeHealth International– International Hospital - NZ– Patient - Thailand

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3

Facilitator Presentation Overview

• Business Concept & Background• The Opportunity to Impact

Catastrophic Claims• Value to Stakeholders• Networks• Quality • Controlling the Client Experience• Medical Case Fees• Surgery Benefit Management• Contact Information

4

Medical Travel‐ TopicsWe will cover 3 main topics:

• Surgery Benefit Management through– Education about specific procedures & Tools on avoiding

unnecessary surgery and saving cost

• Domestic Quality Value Travel Network– Discounted Centers of Excellence (COE’s) in the U.S.

• International Network– World class deeply discounted quality international COE’s

All available today to ASO & Some Fully Insured clients

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5

Why Medical TravelSignificant savings

Innovative health benefit design

Ensures high quality, cost effective medical care - COEs

Transparent costs & simplified billing

Complements consumer-driven programs

6

The OpportunityThe American healthcare system has become so expensive that companies are dropping coverage.

Healthcare is virtually unaffordable for those without insurance.

American businesses are increasingly unable to compete in a global marketplace due to the high costs of health insurance.

Varying countries’ citizens wanting to access quality valueworld providers

The declining current world economies coupled with health care reform in the U.S. is putting pressure on U.S. healthcareWaiting lists in some countries: Canada & UK

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Major Medical Travel Competitors

• Aetna – Serves one customer in Maine & has one hospital in Singapore.

• Cigna - Exploring • Companion Health – Blue Cross/Blue Shield of S.C. subsidiary.

Int’l only. Several commercial clients and patients sent.• BridgeHealth Medical – Domestic and International – over 2,500

patients, customers: Employers, TPAs, & Insurance companies.• HealthBase – Focus on India and mostly consumer. • Health Place America – Domestic only; ~ 50 patients handful of

clients – recent major reorganization.• WellPoint – Serves one customer, focus mostly on India.• Misc. others – mostly focused on B to C, new ones regularly

8

Health Care Reform &Impact to Most Medical Travel

Under nearly all proposed scenarios & plans Medical Travel comes out aheadIn No Case is it Compromised, though some approaches may need to be modified

• Medical Travel is in fact part of the solution:– Access:

• Makes more choices available• Coordinates High Quality Low Cost Providers• Creates World Wide Access To Best Hospitals & Physicians

– Cost:• Lowers cost• Educates patient• Clearly posts prices in an all inclusive understandable way

– Quality:• Provides quality rankings of hospitals including outcomes results• Educates patients on options that may be lower cost and better quality• Prepares patients for what to expect in Surgery and how to select a provider• Provides high levels of customer service

• Most Medical Travel is not, nor is it designed to be the cure for all issues or proposed solutions.

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9

Key Attributes for a Medical Travel Facilitator

Look for a top service provider: a company with infrastructure, expertise, growth capital, and industry-specific experience.

Specifics to Consider:A domestic and/or an international top quality network of physicians and

accredited hospitals and clinics – True Centers Of Excellence (COEs) Priority customer serviceSignificant savings on high value medical procedures A clear fixed price using case rate DRG pricing Service & Quality Outcome tracking based measurement systems Experience in sending Americans to healthcare destinationsA patient Surgery Education component

10

Total US Healthcare Expenditures

2008

$2.3 Trillion

The Opportunity

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The Opportunity

Total US Healthcare Expenditures2008

Other $2 Trillion

Pharma$300 Billion

12

Significant & Unmanaged

Other$1.1

Trillion

Pharma$300 Billion

Surgery$700 Billion

Pharma is a Big Industry –

Tightly Managed

Bigger Industry – Unmanaged

Radiology$100 Billion

Behavioral Health$100 Billion

Surgery represents a significant and unmanaged portion of the $2.3 Trillion healthcare market

1/3rd of total medical spend and it exceeds other benefit management areas

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2 Components of SurgerySupply Side: Provider Selection

• A quality & value-driven domestic Centers of Excellence (COE) network• A greatly discounted & demonstrated quality international COE network

Demand Side: Surgery Education/Surgical Benefit Management (SBM) solution

• Built on studies that conclude that 30% of surgeries are unnecessary- (Wennberg – Dartmouth) – possibly better value and quality than traveling

• Educate employees to make informed decisions about surgery, its risks, and alternatives such as:

• Evaluating if surgery is even needed• Understanding the possible surgery • A less invasive surgery• Physical therapy• Pharmaceutical alternatives• Tools to discuss with Surgeon and prepare for surgery & recovery

14

Insurers, Reinsurers/Stop Loss, MGU’s, TPA’s, ASO’s, & Brokers & Consultants• Lower costs• Higher quality through alternatives• Employees make the “tough” decisions• Greater choice• True CDHP, as now the employee is educated on choices• Presenting a leading edge product• May not penetrate the specific or hit aggregate

Employers• Cost control & Quality improvement• Employee satisfaction• Not the bad guy, not cutting benefits, but adding choices

Value to Stakeholders

Employees• Informed Consent• Control of Decision• More options / greater quality• Tools and education to understand & evaluate the process• Higher satisfaction & lower costs

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Medical Travel for Employers• Employer Often has 3

Choices pays Facilitator a no risk case rate by procedure, PEPM, or a shared savings.

• Employees should be given a choice to travel.

• Employees should be given an incentive to travel.

16

Centers of ExcellenceNational Network

Look for representative top tier domestic (US) network with geographic spread to enable patients to choose a low cost / high quality U.S. provider.

Countries Often in International Networks

• Brazil• China• Costa Rica• Hong Kong• India

• Malaysia• Mexico• New Zealand• Puerto Rico• Panama

• Singapore• South Korea• Taiwan• Thailand• Turkey

These are representative countries generally having high quality high service and often JCI accredited or equivalent hospitals.  Often different countries have different surgical specialties.

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Medical & Dental ProceduresMedical & Dental Procedures•Gastroenterology

•General Surgery

•Gynecology

• Infertility

• Internal Medicine

•Neurosurgery

•Oncology (selective)

•Ophthalmology

• Cardiology

• Cardiothoracic

• CyberKnife® (cancer)

• Dental

• Detox/Rehab

• ENT

• Executive Health Physicals

•Orthopedics

• Pain Management

• Pediatrics

• Plastic andReconstructive Surgery

•Urology Male/Female

• Vascular

•Weight Loss/Obesity Surgery

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Look for Care CoordinationLook for Care CoordinationConsultation with Travel Care Coordinators

HIPAA compliant

Coordination of pre‐travel communications made for client to hospital and physician

After care needs can be coordinated 

Satisfaction & medical outcomes are tracked and monitored

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Ideally Have All‐InclusiveTransparent Pricing PlanIdeally Have All‐InclusiveTransparent Pricing Plan

Which Includes:

Surgery/procedure costs

Airfare

Lodging

Transfers

24/7 Concierge Service

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Example: Savings PotentialExample: Savings PotentialIn a 1000 member company

Would have approximately 70 cases/year would benefit from travel

If only 1/3 of members used the  domestic COE travel benefit

Annual savings would be ~10‐12% per year!

This includes all travel & related costs

Many of these would be Catastrophic Claims at the Specific level and collectively could impact the AggregateInternational savings per case are about double or more

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Sample Estimated Costs of SurgeriesTypical US Pricing *

U.S. COE Pricing

International COE Pricing

Mitral Valve Replacement

$117‐177,000 $47‐77,000 $10‐31,000

Cardiac Bypass $72‐121,000 $37‐64,000 $8‐30,000

Hip Replacement $48‐53,000 $20‐25,000 $7‐14,000

Knee Replacement $31‐74,000 $20‐34,000 $7‐15,000

Spinal Fusion $39‐172,000 $18‐49,000 $5‐14,000

Note: These U.S. COE prices are inclusive of Hospital, Surgeon, Lab, Radiology, Anesthesiology, etc.Prices will vary by location, severity, co-morbidity and are approximate for comparative illustration.COE examples do not include travel costs, but the savings more than offsets them.

* Varies by MCO/PPO and region

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International NetworkInternational NetworkMany Doctors are Western Trained

Nurse/patient ratio is better than US

Hospitals are accredited by the body that accredits hospitals in the US

Examples of high quality network are:• Wockhardt Hospital in Bangalore, India – affiliated with Harvard

• Punta Pacifica Hospital in Panama & Memorial Hospital in Istanbul– affiliated with Johns Hopkins

Aftercare Network• Locations in U.S. for follow up

International  locations can reduce catastrophic claims even further than U.S. providers

24

Reduce unnecessary surgery• If it’s not necessary it doesn’t need to happen for lack of alternatives• Truly consumer‐directed—the consumer makes their own choices

Simplify required surgeries• Educate consumer on treatment alternatives to make the best decision

• Leverage different price/quality/location points = choice, & lower costs• Educate the member & give them “tools” for decisions and recovery

• Improve quality through COEs & less lost work time

Inhibit trend toward more aggressive surgery• Compare less aggressive versus more aggressive surgeries

Access to multiple networks• Local, Other Domestic COE’s, and optional International providers

The Surgery Decision‐Surgery Path

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• Web‐based education

– An overview of the specialty area– A look at the subspecialty area– An explanation of treatment options

• A set of helpful consumer tools:– How to select a physician and hospital– Know what to ask of your provider once 

you’ve chosen one– How to involve your family and friends 

to improve your outcome– What to expect from your chosen path– Pre‐ and Post‐operative considerations– Understanding legal and financial forms– Recovery steps

Surgery Education – Member InfoItems often in Surgery Education – which can reduce unnecessary surgery and educate the patient on expectations:

26

Surgical Benefit Education:  Education & Decision Process About Surgery, Alternatives, and Locations, and Recovery. Provide “Tools” for understanding

Dedicated, Care Coordinators

Networks: Local, Domestic travel, and International

Travel Care Coordinators to Coordinate Health Record Data & Concierge Travel Coordination

Employer Plan

Covered Member

Follow‐up Care & Patient Satisfaction Surveys and Outcomes Tracking

Plan Design Recommendations with financial incentives to seek care at quality hospitals throughout the U.S. and Internationally if selected

NOTE: Might be offered as a side by side option with employer’s existing plan. It can also be offered with a companion hospital reimbursement plan.

Solutions Reviewed

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The opportunity for you to demonstrate innovative thinking that will:

• Reduce corporate costs ‐ today

• Reduce employee costs ‐ today

• Sustain or increase benefits ‐ today

• Improve quality ‐ today

• Offer a new innovative service

28

Summary of what to Look Forin a Facilitator

• Experience– Experienced leadership team with depth;

• Networks– Quality-rated Domestic and International COE Networks + Education

• Marketing Communications– Partnered, strategic plan to drive company utilization & unit cost savings

• Client Experience– Personalized service to clients by experienced coordinators

• Member Education– Reduce utilization and get better outcomes through member decisions

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ProposalProposal

Look to form a collaborative partnership between your two organizations to:

Outline the Advantages of a World Class Network for Medical Travel

Demonstrate Viability and Value of Surgery Education 

Reduce Benefit Costs for You/Your Clients

Show your Thought Leadership with New Services

Provide Employees with Exciting and Beneficial Care Options

The Trusted Bridge to World‐Class Healthcare™

30

Contact InformationContact Informationwww.BridgeHealthInternational.com

The Trusted Bridge to World‐Class Healthcare

Vic Lazzaro, [email protected]: 303‐457‐5725C: 303‐358‐0300

Gordon [email protected]‐841‐7566

Page 16: Global Medical Travel and Reducing Catastrophic Claims National Conference... · 2010-10-14 · September 23, 2009 1 Global Medical Travel and Reducing Catastrophic Claims 2 SIIA

1

SIIA2009 National Educational Conference

A Personal Medical Tourism Experience

September 23, 2009

ActuarialManagement Strategies, Inc.AMS

Presented by:

Alison J. Saifer, FSA, MAAA

ActuarialManagementStrategies, Inc.AMS

Copyright and Disclaimer

This presentation is for informational and discussion purposes. All material contained within this presentation is believed to be reliable and is based upon market experience and knowledge of Actuarial Management Strategies, Inc. (“AMS”). AMS does not certify to its accuracy or completeness. This document and its contents are proprietary to AMS and may not be copied or reproduced without the express consent of AMS.

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ActuarialManagementStrategies, Inc.AMS

Background: Alison J. Saifer, FSA, MAAA

Health Care Consultant (Actuarial/Financial/Business) for:Reinsurance Companies

Direct Carriers

MGUs

Attorneys

Investors

ActuarialManagementStrategies, Inc.AMS

Types of Products

Employer Stop LossLimited Medical/ Mini-MedFirst Dollar, including High Deductible PlansTravelCarve Outs – Transplant, Dental, Drug, VisionStudent Accident and MedicalBlanket Special RiskPet Insurance

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ActuarialManagementStrategies, Inc.AMS

The Hot Topic of Medical Tourism

Everyone is talking about it, but is anyone actually doing it?

Many have determined that the potential for cost savings, even after accounting for travel and accommodations is significant

After looking at it from an actuarial perspective, decided to participate in an actual experience

ActuarialManagementStrategies, Inc.AMS

The “Mock” Trip

I’m Not a Doctor, I Just Think All Those Actuarial Exams Qualify Me to Act Like One!

May 27 – June 1, 2009

Bangkok, Thailand

Medical Services Needed….All parts currently working…, so how about an executive physical?

Traveled with an Insurer, Reinsurer, Reinsurance Intermediary

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ActuarialManagementStrategies, Inc.AMS

Agenda

Tour of Bangkok Hospital

Meeting with Hospital Senior Management

Tour of Rehabilitation Clinic and Holistic Medical Center

Tour of Samitivej Sukhumvit Hospital

Meeting with a Group That Does Aphaeresis Treatments Not Available in the US

First Hand Experience with Some Medical Tests and Treatments

ActuarialManagementStrategies, Inc.AMS

What about the Tourism Component?

Dining Experiences

Tour of the City

Visit to the Bangkok Night Market

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ActuarialManagementStrategies, Inc.AMS

Trip to Bangkok

After 26 hours of travel, arrive in Bangkok, tired, but excited

A concierge was waiting for us with a sign AT OUR GATE

Helped us with luggage, through customs and to a waiting car

Transportation to the hotel

ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital –Meeting with Management

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ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital –Meeting with Management (continued)

JCI Accredited

In 2007, 37% of Patients Were International9.4% are Americans – mostly expats living in Thailand and surrounding areas

Most Doctors Have Excellent English Skills, so Language is Not a Big Barrier

“High Tech with a Light Touch”State of the art equipmentCaring, dedicated staff with Thai hospitality

ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital (continued)

No Waiting

No Shared Rooms – Extremely Clean and Quiet

Doctors Spend Time With Patients

Affordable, Even After Allowing for Traveling and Accommodations

Look After the Family, Not Just the Patient

No Visiting Time RestrictionsApartments available in the hospital

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ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital (continued)

Seamless ServiceReferral Center

Concierge ServicesTransportation from airport, to hospitalTake people shopping, tourism tripsRe-booking flightsStress free

Medical Coordination

Communication with RefereesPatients go home with discharge folders

ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital (continued)

Longer Inpatient Stays Than USNot rushed out of hospital

Re-Hab Patients May Stay at Hotel and Come Back Daily to Hospital

24/7 ServiceSaturdays and Sundays are very busyRoutine operations may happen at 8pm

Hospital is the Center of Healthcare

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ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital (continued)

Package PricingGetting you back home is part of their responsibility

May advise you to stay longer before you are ready to travel home

Cost of Wait time before you are “fit to fly” included

Doctors or nurses may fly back home with you

ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital (continued)

Typical US Patients are:Well traveled

Have passports

Understand technology

Typical Procedures Include:Cardiac stem cell therapy

Computerized diagnosis and radiotherapy for cancer

Joint replacement surgery

Clinical trials

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ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital Tour of Facility

Extremely Clean

No Hospital Smell

People Smiled and Greeted You as They Passed By

Rooms Were Large and Comfortable, and “Hotel-Like”

Patients Drugs Kept in Locked Box in Patient’s Room

Photo Taken at Registration and Then on Every Page of Medical Records

ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital Tour of Facility

Procedure Prices Posted on the Wall at the Hospital

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ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital Tour of Facility

Outpatient Dialysis Area

ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital Tour of Facility

Apartments Available in the Hospital for Family Members or Patients with Outpatient Procedures

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ActuarialManagementStrategies, Inc.AMS

Bangkok Hospital Tour of Facility

Starbucks Coffee and Au Bon Pain in Hospital

ActuarialManagementStrategies, Inc.AMS

Holistic Medical Center

Integrated with Medical Care

State of the Art Equipment

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ActuarialManagementStrategies, Inc.AMS

Samitivej Sukhumvit Hospital

JCI Accredited

40% of Patients are InternationalJapanese, then AmericanMostly expats living in Thailand or surrounding areas10% of revenue from medical travelers

Thai Patients are Upper and Upper-Middle Class

ActuarialManagementStrategies, Inc.AMS

Samitivej Sukhumvit Hospital (continued)

Karaoke in Room

Internet in Room

24 Hour Hot Line to Nurses Station Using Skype and Web Cams – Face to Face Communication After Discharge

Connectivity Externally - Pre and Post Care Facilitated Through Web

Consult with doctor face to face before patient comes to Thailand

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ActuarialManagementStrategies, Inc.AMS

Samitivej Sukhumvit Hospital (continued)

Apartments Available in the Hospital – About $80

ActuarialManagementStrategies, Inc.AMS

Day 2 – Tour of City

Concierge Services Provided Us Transportation, Tour Guide

Visit to Grand Palace

Wonderful Thai Food

Incredible Hospitality

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ActuarialManagementStrategies, Inc.AMS

ActuarialManagementStrategies, Inc.AMS

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ActuarialManagementStrategies, Inc.AMS

ActuarialManagementStrategies, Inc.AMS

Day 3 - Patient

Concierge picked us up at hotel at 7:30 am for 8 am appointment on SUNDAY (appointment had been made electronically from home)

7:50 am check-in at International Medical Center Desk – handed us voucher for Starbucks or Au Bon Pain so we could eat once we were finished with lab work

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ActuarialManagementStrategies, Inc.AMS

Day 3 – Patient (continued)

8:05 am called and all vitals, blood and urine taken

Water available at every turn

8:20 am finished with lab piece and head upstairs for chest x-ray

Waiting for us, no paperwork, NO WAIT

The longest wait we had was the time it took us to change into hospital gown for chest x-rays

Were told we could come back in 1 hour for consult with the Doctor

ActuarialManagementStrategies, Inc.AMS

Day 3 – Patient (continued)

8:40 am – Cappuccino and Croissant at Au Bon Pain

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ActuarialManagementStrategies, Inc.AMS

Day 3 – Patient (continued)

Appointment at 9:40 am with DermatologistRefused escort to other building – all signs in English, so no problem finding it!Arrive at 9:05 amCalled into patient room at 9:25 am

Doctor was waiting for ME in the room

Consult over at 9:45 am, when exam and all my questions were answered in English

Cost 750 baht - $22

Services requested – all prices explainedWere a fraction of costs in USA

NO WAIT for ServicesAll services provided by friendly, attentive and knowledgeable professionals, including the Physician

ActuarialManagementStrategies, Inc.AMS

Day 3 – Patient (continued)

Payment was made and our concierge was waiting for us with a sandwich and water bottle

But first, back to the International Medical Center for our test results

Check in at 11:40 am (with no appointment)

Called to speak with Physician at 11:45 am who went over in detail the results of all the labs and showed me my chest x-ray

I had come down with a sore throat, so after an additional exam was given a prescription for an antibiotic and headed out at 12:00 pm

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ActuarialManagementStrategies, Inc.AMS

Day 3 – Patient (continued)

Pharmacy was around the corner. Arrived at 12:00 pm and was on my way with my filled Rx at 12:05 pm

Back at the IMC, I was provided a hard copy of all my results and told that a formal report would be done in 1 hour and that I could pick up or it could be emailed to me

Concierge then provided for a last delicious, authentically Thai meal, a trip to the night market, and transportation back to the airport at 4 am Monday morning

Another concierge met us at the airport and facilitated us through the check-in and customs process

ActuarialManagementStrategies, Inc.AMS

Day 3 – Patient (continued)

Cost of the Check-Up Including:Physical examCBCBlood sugarLiver Function TestKidney Function TestLipid screeningUrine AnalysisChest X-rayPhysician Consult of ResultsFull Written Report

$2,600 Baht or $74

Unparrelled, Courteous and Timely Services – PRICELESS!

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ActuarialManagementStrategies, Inc.AMS

Patient Experience

All Professionals I Came in Contact with (perhaps 20) had Excellent to Fluent English

All Care was Provided Professionally, Politely and Efficiently

All Facilities Were Immaculately Clean

ActuarialManagementStrategies, Inc.AMS

General Observations

Always Felt Safe, Cared For and Never Left StrandedThe Food was Delicious – No One Got Sick and All Enjoyed the Cuisine

The City was Interesting and Culturally Rich

The People Were Incredibly Hospitable, Attentive and Professional

All Hotels, Restaurants and Sights We Were Exposed to Were Very Safe and Excellent by American Standards

Never Experienced a Language Barrier

The Medical Care was Efficient, Professional and Provided in a Superior Manner to that of the US

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ActuarialManagementStrategies, Inc.AMS

Most Important Questions

And If I Really Needed a Medical Procedure, Would I Go Back?

ABSOLUTELY!

Only True Down-Side for Me was the Long Trip, But the Care, Quality and Opportunity to Visit a New Country and Experience the Culture Made It Worth While

ActuarialManagementStrategies, Inc.AMS

Thank You !

Alison J. Saifer, FSA, MAAAPresident

(215) 862-8390

[email protected]

ActuarialManagement Strategies, Inc.AMS

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WORLD CLASS MEDICAL TREATMENTIN AN ENGLISH SPEAKING, FIRST WORLD COUNTRYDELIVERING EXCEPTIONAL HEALTHCARE VALUE

INTRODUCING

Dr Edward WatsonMBcHB MBA DRACOG FRNZCGP

Executive ChairmanMedtral New Zealand

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TODAY’S AGENDA

The Globalization of Healthcare

Why offer a Medical Travel option?

The Medtral OfferValueQualityCare

Hospitals and Doctors

Destination - New Zealand

Benefits to Insurers and Self-insured companies

Patient Experience

WHY ARE PATIENTS TRAVELING?

Cost

Cost

Cost

Long waiting lists (public healthcare)

Expatriates

Indication not approved in home country

To find the best care available

Dissatisfaction with existing providers

THE GLOBALIZATION OF HEALTHCARE

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MEDICAL TRAVEL PROGRAM

1. Cost savings

2. Safety (environment + medical)

3. Quality

4. Compatibility (medically and culturally)

5. Efficiency

6. Continuation of Care

7. Marketable Destination

8. Ease of Travel

WHAT DO SELF-INSURING COMPANIES LOOK FOR?

INTRODUCING MEDTRAL NEW ZEALAND

Through Medtral New Zealand, insured customers and employees from self-insured companies have access to world class, non-acute, surgical and medical treatment in an English speaking, first world environment - New Zealand

The environment in which the patients are treated is both medically and culturally aligned to North America as well as being clean, green, safe and American friendly.

TRAVELING TO NEW ZEALAND WILL NOT BE A FOREIGN EXPERIENCE

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OPERATION PACKAGE (Medtral) COST US$Coronary Artery Bypass Graft Surgery $38,000Heart Valve replacement surgery $40,000Total Hip replacement $26,000Total Knee replacement $26,000

EXCEPTIONAL VALUE

PROCEDURE ONLY (USA) COST US$Coronary Artery Bypass Graft Surgery $125,000Heart Valve replacement surgery $135,000Total Hip replacement $64,000Total Knee replacement $63,000

EXCEPTIONAL VALUE

Our standard package estimate includes:

Integrated concierge service to manage all aspects of the patient’s journey

Patient and doctor communicationHotel and flight bookingsSpecialist and hospital bookingsAftercare managementImmigration managementFeedback and integration with health provider in US

Flights from the west coast of the USAHotel accommodationAll expected medical and surgical costsAftercare (Physiotherapy and Nursing care in hotels)Contingency insurance

Treatment and recuperation while in New ZealandMedical evacuation home if deemed necessary

What is in a cost comparison?

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QUALITY WITHOUT COMPROMISE

Focus on patient outcome

A complete communication loop on patient carePatients condition worked up while still in the USAAll medical aspects of patient care feedback to PCP in USAInter-physician communication encouraged between NZ and USA doctors

Focus on patient experience

OUTSTANDING CARE

Dedicated Patient Coordinators

Personalized medical care

Excellent communication across all disciplines

Low Nurse to Patient ratios (RN primary nurses)

Emphasis on after-care

Holistic approach

Specially selected accommodations

In-hotel Nursing and Physiotherapy

“A Life Changing Experience”

…Total Customer Satisfaction

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FULL SERVICE FACILITIES

Mercy Hospital and Ascot Hospital

Both are Quality Health New Zealand Certified. This is an international recognized accreditation (ISQua)

Services available:

Laboratory services

Catheter labs - EPS, angiography, peripheral vascular

Allied health - physio, dietician, OT etc

On site medical cover

Both are teaching hospitals of the University of Auckland (the only private hospitals in New Zealand to have this)

Robotic surgery

Dual integrated digital operating theatres

Radiology - with 1.5 MRI, 64 slice CT, ultrasound, general X-ray etc

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INTERNATIONAL ACCREDITATION

ISQua

Australian Council on Health Care Standards

Quality Improvement Council, Australia

Canadian Council on Health Services Accreditation

Irish Health Services Accreditation Board (now HIQA)

Council for Health Services Accreditation of Southern Africa

Taiwan Joint Commission on Hospital Accreditation

CHKS-HAQU Health Care Accreditation Unit, UK

Japan Council on Quality in Health Care

Egyptian Health Care Accreditation Organization

Quality Health New Zealand

Joint Commission International Accreditation USA

THE HOSPITALs - MERCY & ASCOT

“Personally I would like to thank everyone at Ascot Hospital for the truly wonderful care I received. From the doctors to the beautiful ladies who make painful nights less painful and shorter. I’m pretty much at a loss for words to express my gratitude. I hope I wasn’t too much of a pain in the arse - after all it was my head they fixed! Many thanks Kiwis.”

Keith RichardsThe Rolling Stones

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WORLD CLASS MEDICAL SPECIALISTS

540 CREDENTIALED SPECIALISTS ACROSS ALL THERAPEUTIC AREAS

English as their first language

Trained in North America, the UK as well as New Zealand or are board certified to work in the USA

Leaders in their respective fields within New Zealand

Excellent records with regards to adverse events, patient interaction and surgical outcomes

Most are involved in international clinical research

NEW ZEALAND

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NEW ZEALAND

First world country with a long history of high quality healthcare provision

Commonwealth Fund ranks New Zealand as having one of the best medical systems in the world

One of the worlds safest blood supplies – no transfusion transmitted HIV infections since screening began in 1985

Geographical isolation means very low rates of nosocomial and community acquired infections

English speaking with a society that shares cultural affinitywith other western countries

12 hour overnight direct flight from west coast of North America

Temperate climate

The most peaceful country in the world (2009 Global Peace Index)

MEDTRAL NZ’S UNIQUE COMBINATION

Certainty of World Class Medical Treatment

Transparent Partnership

New Zealand is a culturally aligned English speaking destination

Internationally Accredited Private Hospitals

Cost effective destination

Contingency insurance

Feedback and communication with US medical providers

Personalized care at every step of the journey

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THE BENEFITS TO INSURERS & SELF INSURING COMPANIES

World class personalized, quality care

An aligned environment

Significant cost savings

Market expansion

Market consolidation

Customer Satisfaction

Knowledge on how to implement medical travel options:Implementation manualsSystems and processesDefined outcomes

Patient Testimonial

PROVING THIS WILL WORK FOR YOU. IT IS WORKING FOR OTHERS

Don’t just take our word for it- see what patients who have travelled to New Zealand say

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Patient Testimonial

QUESTIONS?

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